CA2472076A1 - Tissue grasper/suture passer instrument - Google Patents
Tissue grasper/suture passer instrument Download PDFInfo
- Publication number
- CA2472076A1 CA2472076A1 CA002472076A CA2472076A CA2472076A1 CA 2472076 A1 CA2472076 A1 CA 2472076A1 CA 002472076 A CA002472076 A CA 002472076A CA 2472076 A CA2472076 A CA 2472076A CA 2472076 A1 CA2472076 A1 CA 2472076A1
- Authority
- CA
- Canada
- Prior art keywords
- jaw
- needle
- frame
- opening
- cavity
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/06—Needles ; Sutures; Needle-suture combinations; Holders or packages for needles or suture materials
- A61B17/062—Needle manipulators
- A61B17/0625—Needle manipulators the needle being specially adapted to interact with the manipulator, e.g. being ridged to snap fit in a hole of the manipulator
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
A needle passer instrument for use in minimally invasive surgical procedures, including arthroscopy. The instrument has upper and lower jaws for engaging tissue and a handle. A removable needle engaging cartridge is mounted to the upper jaw. A
surgical needle with attached suture is mounted in a needle passage in the lower jaw A needle actuation rod engages the surgical needle and pushes the needle through tissue contained between the jaws. The needle is engaged by the cartridge, and the needle may be cut away from the suture.
surgical needle with attached suture is mounted in a needle passage in the lower jaw A needle actuation rod engages the surgical needle and pushes the needle through tissue contained between the jaws. The needle is engaged by the cartridge, and the needle may be cut away from the suture.
Claims (14)
1. A suture passer. instrument, comprising:
a frame having a proximal end and a distal end, said frame having a longitudinal passage;
a bottom jaw member mounted to, the distal end of the frame, the bottom jaw having a passage for receiving a surgical needle;
a top jaw member pivotally mounted to the distal end of the frame such that the top jaw member is moveable with respect to the bottom jaw member said top jaw member having a distal opening for receiving a cartridge member;
a handle member mounted to the proximal end of the frame, the handle member having a cavity;
a jaw actuation member having a top end and a bottom end, wherein the top end of the jaw actuation member is mounted to the handle member, a needle rod driving trigger member having a top and a bottom, wherein the top of the needle rod driving member is pivotally mounted to the handle member, a jaw actuation rod having a proximal end a distal end, wherein the jaw actuation rod is slidably mounted in the passage of the frame and' wherein the proximal end of the jaw actuation rod engages the top jaw member, and the proximal end of the actuation rod is mounted to the jaw actuation member, a needle driving rod slidably mounted to the frame, wherein the needle driving member has a proximal end mounted to the needle driving trigger and a distal end for engaging a needle; and a needle passage in the lower jaw having a distal opening out through the top of the lower jaw and a proximal opening in communication with the longitudinal passage of the frame.
a frame having a proximal end and a distal end, said frame having a longitudinal passage;
a bottom jaw member mounted to, the distal end of the frame, the bottom jaw having a passage for receiving a surgical needle;
a top jaw member pivotally mounted to the distal end of the frame such that the top jaw member is moveable with respect to the bottom jaw member said top jaw member having a distal opening for receiving a cartridge member;
a handle member mounted to the proximal end of the frame, the handle member having a cavity;
a jaw actuation member having a top end and a bottom end, wherein the top end of the jaw actuation member is mounted to the handle member, a needle rod driving trigger member having a top and a bottom, wherein the top of the needle rod driving member is pivotally mounted to the handle member, a jaw actuation rod having a proximal end a distal end, wherein the jaw actuation rod is slidably mounted in the passage of the frame and' wherein the proximal end of the jaw actuation rod engages the top jaw member, and the proximal end of the actuation rod is mounted to the jaw actuation member, a needle driving rod slidably mounted to the frame, wherein the needle driving member has a proximal end mounted to the needle driving trigger and a distal end for engaging a needle; and a needle passage in the lower jaw having a distal opening out through the top of the lower jaw and a proximal opening in communication with the longitudinal passage of the frame.
2. The instrument of claim 1 additionally comprising a cartridge member mounted to the top jaw.
3. The instrument of claim 2, wherein the cartridge comprises an opening for receiving at least part of a surgical needle.
4. The instrument of claim 2 wherein the cartridge comprises a member having a top, a bottom and a cavity extending therethrough;
a top flange mounted to the cartridge having an opening in communication with the cavity;
a bottom flange mounted to the bottom of the member having an opening to communication with the cavity; and at least one needle engagement tab member extending into the cavity.
a top flange mounted to the cartridge having an opening in communication with the cavity;
a bottom flange mounted to the bottom of the member having an opening to communication with the cavity; and at least one needle engagement tab member extending into the cavity.
5. The instrument of claim 1 additionally comprising a surgical needle mounted in the needle passage of the bottom jaw.
6. The instrument of claim 1 additionally containing an opening in the bottom jaw in communication with the needle passage.
7. A suture passer instrument, comprising:
a frame having a proximal end and a distal end, said frame having a longitudinal passage;
a bottom jaw member mounted to the distal end of the frame, the bottom jaw having a passage for receiving a surgical needle;
a top jaw member pivotally mounted to the distal end of the frame such that the top jaw member is moveable with respect to the bottom jaw member, said top jaw member having a distal opening, for receiving a cartridge member;
a handle member mounted to the proximal end; of the flame, the handle member having a cavity;
a jaw actuation member having a top end and a bottom end, wherein the top end of the jaw actuation member is mounted to the handle member;
a needle rod driving trigger member having a top and a bottom, wherein the top of the needle rod driving member is pivotally mounted to the handle member, a jaw actuation rod having a proximal end a distal end; wherein the jaw actuation rod is slidably mounted in the passage of the frame and wherein the proximal end of the jaw actuation rod engages the top jaw member, and the proximal end of the actuation rod is mounted to the jaw actuation member;
a needle driving rod slidably mounted to the frame, wherein the needle driving member has a proximal end mounted to the needle driving trigger and a distal end for engaging a needle;
a needle passage in the lower jaw having a distal opening out through the top of the lower jaw and a proximal opening in communication with the longitudinal passage of the frame; end, a cartridge member removably mounted to the top jaw, said cartridge comprising an opening for receiving at least part of a surgical needle.
a frame having a proximal end and a distal end, said frame having a longitudinal passage;
a bottom jaw member mounted to the distal end of the frame, the bottom jaw having a passage for receiving a surgical needle;
a top jaw member pivotally mounted to the distal end of the frame such that the top jaw member is moveable with respect to the bottom jaw member, said top jaw member having a distal opening, for receiving a cartridge member;
a handle member mounted to the proximal end; of the flame, the handle member having a cavity;
a jaw actuation member having a top end and a bottom end, wherein the top end of the jaw actuation member is mounted to the handle member;
a needle rod driving trigger member having a top and a bottom, wherein the top of the needle rod driving member is pivotally mounted to the handle member, a jaw actuation rod having a proximal end a distal end; wherein the jaw actuation rod is slidably mounted in the passage of the frame and wherein the proximal end of the jaw actuation rod engages the top jaw member, and the proximal end of the actuation rod is mounted to the jaw actuation member;
a needle driving rod slidably mounted to the frame, wherein the needle driving member has a proximal end mounted to the needle driving trigger and a distal end for engaging a needle;
a needle passage in the lower jaw having a distal opening out through the top of the lower jaw and a proximal opening in communication with the longitudinal passage of the frame; end, a cartridge member removably mounted to the top jaw, said cartridge comprising an opening for receiving at least part of a surgical needle.
8. The instrument of claim 7 wherein the cartridge comprises:
a member having a top, a bottom and a cavity extending therethrough;
a top flange mounted to the cartridge having an opening in communication with the cavity;
a bottom flange mounted to the bottom of the member having an opening in communication with the cavity; and, at least one needle engagement tab member extending into the cavity.
a member having a top, a bottom and a cavity extending therethrough;
a top flange mounted to the cartridge having an opening in communication with the cavity;
a bottom flange mounted to the bottom of the member having an opening in communication with the cavity; and, at least one needle engagement tab member extending into the cavity.
9. The instrument of claim 7 additionally comprising a surgical needle mounted in the needle passage of the bottom jaw.
10. The instrument of claim 7 additionally containing an opening in the bottom jaw in communication with the needle passage.
11. A method of passing suture through tissue, the method comprising:
1. providing a suture passer instrument said instrument comprising:
a frame having a proximal end and a distal end, said frame having longitudinal passage;
a bottom jaw member mounted to the distal end of the frame, the bottom jaw having a passage for receiving a surgical needle;
a top jaw member pivotally mounted to the distal end of the frame such that the top jaw member is moveable with respect to the bottom jaw member, said top jaw member having a distal opening for receiving a cartridge member, a handle member mounted to the proximal end of the frame, the handle member having a cavity;
a jaw actuation member having a top end and a bottom end, wherein the top end of the jaw actuation member is mounted to the handle member;
a needle rod driving trigger member having a top and a bottom, wherein the top of the needle rod driving member is pivotally mounted to the handle member, a jaw actuation rod having a proximal end a distal end, wherein the jaw actuation rod is slidably mounted in the passage of the frame and wherein the proximal end of the jaw actuation rod engages the top jaw member, and the proximal end of the actuation rod is mounted to the jaw actuation member, a needle driving rod slidably mounted to the frame, wherein the needle driving member has a proximal end mounted to the needle driving trigger and a distal end for engaging a needle; and a needle passage in the lower jaw having a distal opening out through the top of the lower jaw and a proximal opening in communication with the longitudinal passage of the frame;
II. providing a cartridge member, said cartridge member comprising:
a member having a top, a bottom and a cavity extending therethrough;
a top flange mounted to the cartridge having an opening in communication with the cavity;
a bottom flange mounted to the bottom of the member having an opening in communication with the cavity; and at least one needle engagement tab member extending into the cavity;
III. providing a surgical needle having a distal piercing point and a proximal suture mounting end, said needle having a suture mounted to the suture mounting end;
IV. mounting the cartridge member to the top jaw member;
V. mounting the surgical needle in the needle passage of the bottom jaw member;
VI. engaging tissue between the top jaw member and the bottom jaw member; and, VII. moving the surgical needle and attached suture through the tissue by engaging the needle with the needle driving rod such that the needle is engaged in the cavity of the cartridge member.
1. providing a suture passer instrument said instrument comprising:
a frame having a proximal end and a distal end, said frame having longitudinal passage;
a bottom jaw member mounted to the distal end of the frame, the bottom jaw having a passage for receiving a surgical needle;
a top jaw member pivotally mounted to the distal end of the frame such that the top jaw member is moveable with respect to the bottom jaw member, said top jaw member having a distal opening for receiving a cartridge member, a handle member mounted to the proximal end of the frame, the handle member having a cavity;
a jaw actuation member having a top end and a bottom end, wherein the top end of the jaw actuation member is mounted to the handle member;
a needle rod driving trigger member having a top and a bottom, wherein the top of the needle rod driving member is pivotally mounted to the handle member, a jaw actuation rod having a proximal end a distal end, wherein the jaw actuation rod is slidably mounted in the passage of the frame and wherein the proximal end of the jaw actuation rod engages the top jaw member, and the proximal end of the actuation rod is mounted to the jaw actuation member, a needle driving rod slidably mounted to the frame, wherein the needle driving member has a proximal end mounted to the needle driving trigger and a distal end for engaging a needle; and a needle passage in the lower jaw having a distal opening out through the top of the lower jaw and a proximal opening in communication with the longitudinal passage of the frame;
II. providing a cartridge member, said cartridge member comprising:
a member having a top, a bottom and a cavity extending therethrough;
a top flange mounted to the cartridge having an opening in communication with the cavity;
a bottom flange mounted to the bottom of the member having an opening in communication with the cavity; and at least one needle engagement tab member extending into the cavity;
III. providing a surgical needle having a distal piercing point and a proximal suture mounting end, said needle having a suture mounted to the suture mounting end;
IV. mounting the cartridge member to the top jaw member;
V. mounting the surgical needle in the needle passage of the bottom jaw member;
VI. engaging tissue between the top jaw member and the bottom jaw member; and, VII. moving the surgical needle and attached suture through the tissue by engaging the needle with the needle driving rod such that the needle is engaged in the cavity of the cartridge member.
12. The method of claim 11 additionally comprising the steps of opening the jaws with respect to each other, moving the instrument away from the tissue, and cutting the engaged needle from the cartridge member.
13. The instrument of claim 4 wherein the cavity comprises a distal slot and a proximal opening, and wherein the tab member extends into the slot but does not extend into the proximal opening.
14. The instrument of claim 8 wherein the cavity comprises a distal slot and a proximal opening, and wherein the tab member extends into the slot but does not extend into the proximal opening.
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US10/601,479 US7166116B2 (en) | 2003-06-23 | 2003-06-23 | Tissue grasper/suture passer instrument |
US10/601,479 | 2003-06-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
CA2472076A1 true CA2472076A1 (en) | 2004-12-23 |
CA2472076C CA2472076C (en) | 2011-11-08 |
Family
ID=33477039
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA2472076A Expired - Fee Related CA2472076C (en) | 2003-06-23 | 2004-06-23 | Tissue grasper/suture passer instrument |
Country Status (6)
Country | Link |
---|---|
US (2) | US7166116B2 (en) |
EP (1) | EP1498075B1 (en) |
JP (1) | JP4767505B2 (en) |
AU (2) | AU2004202782A1 (en) |
CA (1) | CA2472076C (en) |
DE (1) | DE602004022361D1 (en) |
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2003
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JP4767505B2 (en) | 2011-09-07 |
EP1498075A1 (en) | 2005-01-19 |
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DE602004022361D1 (en) | 2009-09-17 |
AU2004202782A1 (en) | 2005-01-13 |
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